The Creative Learning Lab Enrollment Form
Please fill out the form below to secure your Learner's membership in the CLL this Spring! Our Spring term runs from April 5 - June 8 Once your enrollment is complete you will receive an invoice from Square to complete your billing information. Informational communication will be made prior to the start of the Creative Leaning Lab.
Email address *
Learner's Name *
Learner's Date of Birth *
MM
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DD
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YYYY
Guardian's Names *
Address *
Guardian's Phone Number *
Learner's email address (if applicable)
Please tell us about your learner. What should we know to help them to have a rich and beneficial experience? *
Please list any medical conditions *
Please choose your payment schedule *
I will keep my child home if they are not feeling well or have a fever. *
Required
Please indicate any allergies
I give The Complex permission to seek medical attention for my student in case of emergency. I will not hold the studio responsible for injury or virus or for any medical attention sought for said emergency. *
Required
I hereby grant permission to The Complex Performing Arts Centre, Inc. to use photographs and/or video of my child/children in publications, news releases, online, and in any other communications related to the mission of The Complex. *
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